Evidence map›Paper›PMID 38632159›Full record

ArticleJournal of urban health : bulletin of the New York Academy of Medicine2024

Characterizing Multisystem Barriers to Women's Residential SUD Treatment: A Multisite Qualitative Analysis in Los Angeles.

Dean Rivera, Benjamin F Henwood, Steve Sussman, Suzanne Wenzel, Anindita Dasgupta, Aimee N C Campbell, Elwin Wu, Hortensia Amaro

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Dean RiveraColumbia School of Social Work, Columbia University, 1225 Amsterdam Ave., New York, NY, 10027, USA. drr2147@columbia.edu.ORCID http://orcid.org/0000-0001-5997-4377
Benjamin F HenwoodSuzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34 Street, MRF 214, Los Angeles, CA, 90089, USA.
Steve SussmanKeck School of Medicine, University of Southern California, 1975 Zonal Ave., Los Angeles, CA, 90033, USA.
Suzanne WenzelSuzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34 Street, MRF 214, Los Angeles, CA, 90089, USA.
Anindita DasguptaColumbia School of Social Work, Columbia University, 1225 Amsterdam Ave., New York, NY, 10027, USA.
Aimee N C CampbellColumbia University Irving Medical Center Department of Psychiatry and New York State Psychiatric Institute, 1051 Riverside Drive, Unit 120, Room 3719, New York, NY, 10032, USA.
Elwin WuColumbia School of Social Work, Columbia University, 1225 Amsterdam Ave., New York, NY, 10027, USA.
Hortensia AmaroHerbert Wertheim College of Medicine and Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8Th Street, Miami, FL, 33199, USA.
Columbia University · USUniversity of Southern California · USFlorida International University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Residential substance use disorder (SUD) treatment programs are challenged by the differing values of the problem-solving court (PSC) and child welfare (CW) systems, along with communication barriers between staff. This study aimed to understand, from the viewpoints of SUD treatment providers, how divergent values and communication barriers adversely affect women's residential SUD treatment. We conducted qualitative semistructured interviews with 18 SUD treatment clinicians and six directors from four women's residential SUD treatment programs. Using a thematic analysis framework, we identified salient themes across specified codes. Analysis revealed six main themes, suggesting differing values and communication barriers across the SUD, PSC, and CW systems adversely affect the provision of SUD treatment. For differing values, three main themes emerged: (a) unaddressed trauma and fear of mental health treatment seeking; (b) perceptions of mothers with a SUD; and (c) the Adoption and Safe Families Act (ASFA) timeline as a barrier to SUD treatment provision. For communication barriers, three themes emerged: (a) inadequate communication and responsiveness with PSC and CW systems adversely affect treatment coordination, induce patient stress, and treatment disengagement; (b) lack of PSC and CW communication regarding child visitation planning adversely affects treatment motivation and retention; and (c) competing ASFA, PSC, and CW priorities and inadequate cross-system communication adversely affect treatment planning. Treatment providers face significant barriers in providing effective treatment to women simultaneously involved in the CW and PSC systems. Aligning values and addressing communication barriers, changes in policy, and enhanced cross-system training are crucial. Additionally, it is essential to reevaluate the ASFA timeline to align with the long-term treatment needs of mothers with a SUD. Further research should explore the viewpoints of patients, CW, and PSC staff to gain deeper insights into these SUD treatment barriers.

Indexed as

Qualitative ResearchResidential TreatmentSubstance-Related DisordersAdultChild WelfareCommunication BarriersFemaleHealth Services AccessibilityHumansInterviews as TopicLos AngelesMiddle AgedChild welfareCommunicationProblem-solving courtSubstance use disorderValues

Identifiers

PMID38632159
PMCPMC11190110
OpenAlexW4394872253

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.